Dillan Lee Vick, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

767 Madison Rd Ste 110
Culpeper, VA 22701-3340

Phone

(540) 738-7220

Fax

(540) 779-0728

NPI assigned

Mar 21, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Behavior Doc LLC

  • Behavior Analyst
  • Culpeper, VA
  • NPI 1851906259
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1104528207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 GRAVEL RD",
            "city": "BRANDY STATION",
            "state": "VA",
            "postal_code": "227141872",
            "telephone_number": "540-738-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 MADISON RD STE 110",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013340",
            "telephone_number": "540-738-7220",
            "fax_number": "540-779-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICK",
        "first_name": "DILLAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany L Vanwickler, PA-C
• Beni R. Verma, M.D.
• Sagar Verma, M.D.
• Vernicks Consulting LLC
• Matthew Edward Viar, LPC
• Vip Care LLC
• Virginia CVS Pharmacy LLC
• Virginia CVS Pharmacy LLC
• Virginia Handi Ride
• Virginia Laboratory Services, LLC

• Behavior Technician in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.